Brix M O, Chiari C
Universitätsklinik für Orthopädie, Medizinsche Universität Wien, Wien.
Z Orthop Unfall. 2012 Sep;150(4):e121-41; quiz e142. doi: 10.1055/s-0032-1315242. Epub 2012 Aug 27.
Articular cartilage damage is challenging to treat. The patient has to deal with pain, functional impairment and compromized quality of life. Ultimately, he has to face the risk of early total joint replacement. A variety of treatment options is available to improve the situation for the patient. Mosaicplasty, bone marrow-stimulating techniques and cell-based methods have been in clinical use for years. This article explains preoperative diagnosis and classification systems of cartilage lesions and presents different cartilage repair procedures and their indications.
关节软骨损伤的治疗颇具挑战性。患者必须应对疼痛、功能障碍以及生活质量下降的问题。最终,他不得不面临早期全关节置换的风险。有多种治疗方案可供选择以改善患者的状况。镶嵌植骨术、骨髓刺激技术和基于细胞的方法已在临床应用多年。本文解释了软骨损伤的术前诊断和分类系统,并介绍了不同的软骨修复手术及其适应证。